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Warriors in Peace Operations - Strategic Studies Institute - U.S. Army

Warriors in Peace Operations - Strategic Studies Institute - U.S. Army

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teams and had one team erect the EMT while the other team<br />

put up the OR and CMS. We decided to run the three<br />

sections <strong>in</strong> parallel. Patients would enter the facility from<br />

the front of the EMT where we would establish a<br />

registration and triage area. The patient would then move<br />

to the middle of the EMT where he would be seen by a health<br />

care provider and rendered medical treatment. In the rear<br />

of the EMT, our plan was to place four <strong>in</strong>tensive-care beds<br />

for any soldiers requir<strong>in</strong>g <strong>in</strong>-patient care. To the rear of the<br />

EMT, a controlled entrance would be erected to allow<br />

passage <strong>in</strong>to our CMS area. This area could provide sterile<br />

<strong>in</strong>struments to both the OR and the EMT, yet be out of the<br />

flow of normal patient and staff activity. On the backside of<br />

CMS, we would erect another passageway <strong>in</strong>to the<br />

Operat<strong>in</strong>g Room area.<br />

We were able to position all the pieces of equipment for<br />

this first phase without any major difficulties. The second<br />

phase of construction planned for this first day of operations<br />

was to locate our x-ray and laboratory “boxes” alongside the<br />

EMT/CMS/OR complex. However, the contracted truck<br />

driver stated he could not drive the truck <strong>in</strong>to the<br />

designated locations to drop these expansible boxes because<br />

he would get stuck <strong>in</strong> the mud surround<strong>in</strong>g the aircraft pad.<br />

We therefore called for a crane to unload the expansibles.<br />

Approximately 2 hours later, one arrived at the scene. The<br />

crane operator attempted to unload the laboratory<br />

expansible for over 3 hours. However, his crane was not<br />

large enough to complete the job. So, both the x-ray<br />

expansible and the laboratory expansible placement needed<br />

to be postponed until the follow<strong>in</strong>g day.<br />

The next issue we needed to address was the absence of<br />

fuel for our generators that provide power for heat, light<strong>in</strong>g,<br />

and medical equipment with<strong>in</strong> the hospital. We were hav<strong>in</strong>g<br />

difficulty schedul<strong>in</strong>g a fuel truck to transport fuel to our<br />

hospital site. After many attempts at arrang<strong>in</strong>g for a fuel<br />

truck, one f<strong>in</strong>ally arrived on the scene. However, he arrived<br />

with no fuel. After discover<strong>in</strong>g he was empty, he left to<br />

resupply, and it was some 2 hours before he returned. Upon<br />

224

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